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251215 11/04/15 y CITY OF CARMEL, INDIANA VENDOR: 241253 ONE CIVIC SQUARE PETTY CASH 1/ f� `` CHECKAMOUNT: $'`'"""•`41 27' �' s CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 251215 'a;«oN�` C/O DOCS CHECK DATE: 11104/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4230200 41.27 OFFICE SUPPLIES Account Transactions: Indiana Members Credit Union Page I of I INDIANA -^ Liv I'm e Support Onllno Members Credit Union \,o-.,k � S,an at.._ Keeping It Simple l� Account:S0010 Current Balance~ Available Balance: CHECKING Current Time:09/22/1510:07:38 AM Date c Ref/Check No Description Debit Credit Balance 09/22/2015 Debit Card Withdrawal:MASTERCARD DEBIT RECORDER CONV FEE FISHERS IN Date -$3.50 09/21/15 380735 9399 Card 8421 09/22/2015 Debit Card Withdrawal:MASTERCARD DEBIT CVS/PHARMACY#04634 -$24.33 NOBLESVILLINE Date 09/21/15 594039 5912 Card 3498 09/22/2015 Debit Card Withdrawal:MASTERCARD DEBIT HAMILTON COUNTY REC -$34,00 1.1/101 CC\IIII CII.I r1 -l10171/�S OO..,-P.m..,1 CROWN TROPHY Invoice Date Invoice# 807 West Carmel Drive 10/12/2015 24460 Carmel, Indiana 46032 Bill To City of Carmel 1 Civic Square Carmel,IN 46032 P.O.No. Terms Due Date Net 30 11/11/2015 Item Qty Description Rate Amount Engraving 5... 1 Engraving Small Plate 5.00 SOOT Walk to School Day Sales Tax(0.0%) $0.00 Thank You For Selecting Crown Trophy For Your Total $5.00 Awards & Recognition Needs, Payments/Credits $0.00 Balance Due $5.00 Phone# Fax# E-mail Web Site 317-818-9400 317-818-9200 crowncarmel@sbcglobal.net www.crowntrophy.com i VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF$ DOCS One Civic Square Carmel, IN 46032 I $41.27 i I ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#rrITLE AMOUNT _l Board Members 1 1192 42-302.00 $41.27 I hereby certify that the attached invoice(s), or I I bill(s) is(are)true and correct and that the i materials or services itemized thereon for which charge is made were ordered and received except II Friday, October 30, 2015 rec Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 10/15/15 $41.27 I hereby certify that the attached invoice(s), or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer